CMS Surveyor Guidance for Medical Director Tag

On November 18, 2005, CMS implemented revised Interpretative Guidelines in the State Operations Manual, Appendix PP for the medical director Tag along with training materials for state surveyors. For 30 years, Medicare regulations have required medical directors in skilled nursing facilities. In 1987, The Omnibus Budget Reconciliation Act extended that requirement to nursing facilities. The functions of a medical director, codified in Title 42 483.75(i)(2), are to implement resident care policies and coordinate medical care in the facility.

For 30 years, Medicare regulations have required medical directors in skilled nursing facilities. In 1987, The Omnibus Budget Reconciliation Act extended that requirement to nursing facilities. The functions of a medical director, codified in Title 42 483.75(i)(2), are to implement resident care policies and coordinate medical care in the facility.

It is very important to understand that

The regulation has not changed, but there is additional guidance in the State Operations Manual, and,
The guidance is a reflection of already existing and long-standing AMDA policy: the role and responsibilities of the medical director.
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